中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
31期
3879-3881
,共3页
孟国芳%陈英%何飞燕%孙红华
孟國芳%陳英%何飛燕%孫紅華
맹국방%진영%하비연%손홍화
气腹,人工%压力%结直肠肿瘤%麻醉后护理%苏醒质量
氣腹,人工%壓力%結直腸腫瘤%痳醉後護理%囌醒質量
기복,인공%압력%결직장종류%마취후호리%소성질량
Pneumoperitoneum,artificial%Pressure%Radical resection of colorectal cancer%Nursing after anesthesia%Revival quality
目的 观察不同气腹压力对腹腔镜直肠癌根治术患者全麻苏醒质量的影响.方法 将ASA Ⅰ ～Ⅱ级择期全麻下行腹腔镜直肠癌根治术患者60例,随机分为低压力组和高压力组两组.两组患者均在气管内插管静吸复合麻醉下手术,术毕使用静脉镇痛泵镇痛.低压力组采用10 mm Hg气腹压力,高压力组采用14 mm Hg气腹压力.比较两组气腹时间、手术时间、苏醒时间、拔管时间、术中高PETCO2发生率、苏醒期躁动及心血管用药等情况.结果 低压力组气腹时间、手术时间分别为(160 ±24),(185±35) min,高压力组分别为(152±22),(174±32) min,两组比较差异均无统计学意义(t值分别为1.652,1.661;P ＞0.05).低压力组苏醒时间、拨管时间分别为(28 ±11),(35±15) min,高压力组分别为(41±18),(50±20) min,两组比较差异均有统计学意义(t值分别为2.395,2.672;P＜0.05).低压力组术中高PETCO2发生率、苏醒期躁动发生率及心血管用药率分别为33.3％,16.7％,40.0％,高压力组分别为63.3％,46.7％,70.0％,两组比较差异均有统计学意义(x2值分别为5.41,6.24,5.45;P＜ 0.05).结论 气腹压力可影响腹腔镜直肠癌手术患者全麻的苏醒质量,低压力使患者苏醒更安全、舒适.
目的 觀察不同氣腹壓力對腹腔鏡直腸癌根治術患者全痳囌醒質量的影響.方法 將ASA Ⅰ ～Ⅱ級擇期全痳下行腹腔鏡直腸癌根治術患者60例,隨機分為低壓力組和高壓力組兩組.兩組患者均在氣管內插管靜吸複閤痳醉下手術,術畢使用靜脈鎮痛泵鎮痛.低壓力組採用10 mm Hg氣腹壓力,高壓力組採用14 mm Hg氣腹壓力.比較兩組氣腹時間、手術時間、囌醒時間、拔管時間、術中高PETCO2髮生率、囌醒期躁動及心血管用藥等情況.結果 低壓力組氣腹時間、手術時間分彆為(160 ±24),(185±35) min,高壓力組分彆為(152±22),(174±32) min,兩組比較差異均無統計學意義(t值分彆為1.652,1.661;P ＞0.05).低壓力組囌醒時間、撥管時間分彆為(28 ±11),(35±15) min,高壓力組分彆為(41±18),(50±20) min,兩組比較差異均有統計學意義(t值分彆為2.395,2.672;P＜0.05).低壓力組術中高PETCO2髮生率、囌醒期躁動髮生率及心血管用藥率分彆為33.3％,16.7％,40.0％,高壓力組分彆為63.3％,46.7％,70.0％,兩組比較差異均有統計學意義(x2值分彆為5.41,6.24,5.45;P＜ 0.05).結論 氣腹壓力可影響腹腔鏡直腸癌手術患者全痳的囌醒質量,低壓力使患者囌醒更安全、舒適.
목적 관찰불동기복압력대복강경직장암근치술환자전마소성질량적영향.방법 장ASA Ⅰ ～Ⅱ급택기전마하행복강경직장암근치술환자60례,수궤분위저압력조화고압력조량조.량조환자균재기관내삽관정흡복합마취하수술,술필사용정맥진통빙진통.저압력조채용10 mm Hg기복압력,고압력조채용14 mm Hg기복압력.비교량조기복시간、수술시간、소성시간、발관시간、술중고PETCO2발생솔、소성기조동급심혈관용약등정황.결과 저압력조기복시간、수술시간분별위(160 ±24),(185±35) min,고압력조분별위(152±22),(174±32) min,량조비교차이균무통계학의의(t치분별위1.652,1.661;P ＞0.05).저압력조소성시간、발관시간분별위(28 ±11),(35±15) min,고압력조분별위(41±18),(50±20) min,량조비교차이균유통계학의의(t치분별위2.395,2.672;P＜0.05).저압력조술중고PETCO2발생솔、소성기조동발생솔급심혈관용약솔분별위33.3％,16.7％,40.0％,고압력조분별위63.3％,46.7％,70.0％,량조비교차이균유통계학의의(x2치분별위5.41,6.24,5.45;P＜ 0.05).결론 기복압력가영향복강경직장암수술환자전마적소성질량,저압력사환자소성경안전、서괄.
Objective To observe the effect of different pneumoperitoneum pressure on revival quality of patients with radical resection of eolorectal cancer through laparoscope.Methods Sixty ASA Ⅰ-Ⅱ patients with selective radical resection of colorectal cancer through laparoscope under general anesthesia were divided into low pressure group (group L) and high pressure group (group H).All patients were operated in general anesthesia by tracheal intubations,and the intravenous analgesia pump was used to analgesia after operation.10 mm Hg pneumoperitoneum pressure was adopted in Group L and 14 mm Hg in Group H.The time of pneumoperitoneum,operation time,revival time,extubation time,the incidence rate of high PET CO2 in operation,the impetuousness in revival and the condition of administering cardiovascular drugs in two groups were compared.Results The time of pneumoperitoneum and operation in Group L was respectively (160 ±24)min,(185 ±35) min,and respectively (152 ±22) min,(174 ±32) min in Group H,and the differences were not statistically significant (t =1.652,1.661,respectively ; P ＞ 0.05).The time of revival and extubation in Group L was respectively (28 ± 11) min,(35 ± 15) min,and respectively (41 ± 18) min,(50 ±20) min in Group H,and the differences were statistically significant (t =2.395,2.672,respectively;P ＜0.05).The rate of high PET CO2 in operation,the rate of impetuousness in revival and the condition of administering cardiovascular drugs in Group L were respectively 33.3％,16.7％,40.0％,which were significantly lower than 63.3％,46.7％,70.0％ in Group H,and the differences were statistically significant (x2 =5.41,6.24,5.45,respectively;P ＜0.05).Conclusions Pneumoperitoneum pressure can influence the revival quality of patients in radical resection of colorectal cancer through laparoscope,and low pressure makes the patient safer and more comfortable.
